Healthcare Provider Details

I. General information

NPI: 1285497594
Provider Name (Legal Business Name): HANNAH LABARGE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2024
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 N LINDSAY ST STE 102&200
HIGH POINT NC
27262-4300
US

IV. Provider business mailing address

611 N LINDSAY ST STE 102&200
HIGH POINT NC
27262-4300
US

V. Phone/Fax

Practice location:
  • Phone: 336-878-6520
  • Fax: 336-878-6521
Mailing address:
  • Phone: 336-878-6520
  • Fax: 336-878-6521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number353491
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number353491
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number796173
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5023790
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: